症例から学ぶ　内視鏡医・内視鏡技師のための大腸腫瘍診断・治療　手技選択の境目50

出版社： 金芳堂
著者：
発行日： 2021-03-31
分野： 臨床医学：内科  >  消化器一般
ISBN： 9784765318556
電子書籍版： 2021-03-31 （第1版第1刷）
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大腸内視鏡で腫瘍などを取り扱う際に、どのような症状であればESDなのか、EMRなのか、コールドポリペクトミーなのか、開腹なのかetcという手技の選択は常に悩ましい問題である。
腫瘍、ポリープなどに対し、大腸内視鏡を用いる際、手技の選択に悩むような症例であるときに、どういったポイントに着目して手技を選択したら良いのかを、大腸のエキスパートたちがクイズ形式でわかりやすく説明。
そのほか、内視鏡医、内視鏡技師との知識の懸け橋となるコラム「内視鏡技師のノート」やTipsなども数多く収録。大腸内視鏡全般の知識をこの1冊に！

目次

  • PartI　大腸内視鏡の基礎知識
    　1　大腸腫瘍の内視鏡診断
    　2　治療（EMR、cold polypectomy）総論
    　3　大腸ESDの進歩と標準化に向けた試み
    　4　大腸内視鏡手術における技師の工夫
    　5　内視鏡所見と病理組織所見の究極の対比方法
    　6　大腸腺腫の摘除で大腸癌は予防できるのか？

    PartII　大腸内視鏡症例クイズ　case1～50
    　case1
    　case2
    　・
    　・
    　case50

    内視鏡技師のノート
    　1．介助者から見る内視鏡治療への心構え
    　2．ESD時に介助者が気を付けること
    　3．病理
    　4．大腸癌検診の現状を知ろう
    　5．過形成性ポリープとSSLとの違いを知ろう
    　6．どうしてSSLは治療しなければならないの？
    　7．介助者も知っておきたいprecutting EMR の手技
    　8．CSPではどのようなスネアを使うのが良いの？
    　9．高齢者へ内視鏡治療を行うときに気をつけることってなに？
    　10．病理学的断端陽性時に経過観察となる場合のお話
    　11．EMRの再発リスクファクター
    　12．小さくても悪性度が高い陥凹性病変
    　13．ESD病変における生検の意義
    　14．鋸歯病変のカテゴリー
    　15．あらためてSSA/P って何？
    　16．頻用略語20選　これで医師との会話がスムーズに！
    　17．ピオクタニンとインジゴカルミンの違い
    　18．粘膜下層（SM）癌におけるSM浸潤距離ってなに？
    　19．EUSの見方！　これでDrと会話がスムーズに！
    　20．腫瘍表面の模様と粘液の関係
    　21．操作困難の理由と対処について
    　22．局注液はなぜ使うの？　その理由と特徴
    　23．PCMとS-Oクリップの紹介
    　24．EMRにおけるスネアの選び方
    　25．肉眼型と内視鏡治療について
    　26．JNET分類とは
    　27．超音波内視鏡（EUS: Endoscopic ultrasonography）の準備
    　28．局注の理由と気を付けること
    　29．追加手術の適応は？
    　30．当院の洗浄への取り組み
    　31．LST定義分類とは
    　32．分割EMR ってなに？
    　33．高度線維化ってなに？
    　34．下部直腸癌と人工肛門の関係とは？
    　35．ESD時の体位
    　36．虫垂開口部症例の注意
    　37．NBIとBLI ってなに？
    　38．ESDの粘膜切断は病変からどれくらい離せばいいの？
    　39．UEMR ってなに？
    　40．Ⅰp型の癌の転移リスク
    　41．上行結腸は見落とし率が高い！
    　42．若年性ポリープとは
    　43．高齢者に追加手術をするとき，しないとき
    　44．Rbの病変に対するESDではこれに注意せよ！
    　45．T1b癌治療後の経過観察はどうするべき？
    　46．T1a，T1bの違い
    　47．人工肛門を回避するための方法
    　48．適切なスコープの選択法
    　49．介助者も知っておきたい！　ESDの保険適応について
    　50．潰瘍瘢痕部の隆起
    　51．介助者も知っておきたい！　CSPの適応
    　52．カルチノイドの適応と治療
    　53．高周波モードの違い　Endocut IおよびEndocut Qの特徴

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

Part I 大腸内視鏡の基礎知識

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6) Ishikawa H, Mutoh M, Suzuki S, et al. The preventive effects of low-dose enteric-coated aspirin tablets on the development of colorectal tumours in Asian patients : a randomised trial. Gut. 2014 ; 63 : 1755-1759.
PubMed
7) 石井敏博, 松山まどか, 高橋雅子, 他. 大腸腫瘍の発生と発育に関する検討-大腸腺腫の内視鏡的摘除術の適応と, 摘除後の監視-. 日消集検誌. 1995 ; 33 : 462-468.
 
8) Giardiello FM, Yang VW, Hylind LM, et al. Primary chemoprevention of familial adenomatous polyposis with sulindac. N Engl J Med. 2002 ; 346 : 1054-1059.
PubMed
9) Siegel RL, Miller KD, Fedewa SA, et al. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017 ; 67 : 177-193.
PubMed
10) Lubitz CC, Sosa JA. The changing landscape of papillary thyroid cancer : Epidemiology, management, and the implications for patients. Cancer. 2016 ; 122 : 3754-3759.
PubMed

Part II 大腸内視鏡症例クイズ case 1～50

P.78 掲載の参考文献
1) Yamashina T, Takeuchi Y, Uedo N, et al. Diagnostic features of sessile serrated adenoma/polyps on a prospective study of diagnostic accuracy. J Gastroenterol Hepatol. 2015 ; 30 : 117-123.
PubMed
P.83 掲載の参考文献
1) Yoshida N, Naito Y, Hirose R, et al. Risk of lens cloudiness during colorectal endoscopic submucosal dissection and ability of a novel lens cleaner to maintain and restore endoscopic view. Dig Endosc. 2015 ; 27 : 609-617.
PubMed
2) Yoshida N, Naito Y, Yasuda R, et al. A novel lens cleaner to prevent water drop adhesions during colonoscopy and esophagogastroduodenoscopy. Endosc Int Open. 2017 ; 5 : E1235-E1241.
PubMed
P.100 掲載の参考文献
1) Akahoshi K, Akahane H, Murata A, et al. Endoscopic submucosal dissection using a novel grasping type scissors forceps. Endoscopy. 2007 ; 39 : 1103-1105.
PubMed
2) Yoshida N, Dohi O, et al. Efficacy and safety of endoscopic submucosal dissection using a scissors-type knife with prophylactic over-the-scope clip closure for superficial non-ampullary duodenal epithelial tumors. 2019. doi : 10.1111.
 
3) Dohi O, Yoshida N, Terasaki K, et al. Efficacy of Clutch Cutter for standardizing endoscopic submucosal dissection for early gastric cancer : a propensity score-matched analysis. Digestion. 2018. 1-9. [Epub ahead of print].
 
4) Sakamoto N, Osada T, Shibuya T et al. The facilitation of a new traction device (S-O clip) assisting endoscopic submucosal dissection for superficial colorectal neoplasms. Endoscopy. 2008 ; 40 : E94-95.
 
5) Inoue K, Yoshida N, Dohi O, et al. Effects of the combined use of a scissor-type knife and traction clip on endoscopic submucosal dissection for colorectal tumors : a propensity score-matched analysis. End osc Int Open. March 2, 2021 accepted.
 
P.108 掲載の参考文献
1) Murakami T, Yoshida N, et al. Local recurrence and its risk factors after cold snare polypectomy of colorectal polyps. Surg Endosc. 2020 ; 34 : 2918-2925.
PubMed
P.165 掲載の参考文献
1) Takeuchi Y, Yamashina T, Matsuura N et al. Feasibility of cold snare polypectomy in Japan : A pilot study. World J Gastrointest Endosc. 2015 ; 7 : 1250-1256.
PubMed
2) Hirose R, Yoshida N, Murakami T, et al. Histopathological analysis of cold snare polypectomy and its indication for colorectal polyps 10-14 mm in diameter. Dig Endosc. 2017 ; 29 : 594-601.
PubMed
3) Abe Y, Nabeta H, et al. Extended cold snare polypectomy for small colorectal polyps increases the R0 resection rate. Endosc Int Open. 2018 Feb ; 6 : E254-E258.
PubMed
P.205 掲載の参考文献
1) 住元旭, 田中信治, 林奈那, 他. II. 拡大・超拡大内視鏡における質的診断能向上の検討 (1) 拡大内視鏡診断 b. NBIを主体とした拡大内視鏡観察の立場から (JNET分類). Intestine. 2017 ; 21 : 442-448.
 
2) 工藤豊樹, 石垣智之, 中村大樹, 他. 拡大内視鏡画像の成り立ち-大腸の画像強調併用拡大内視鏡と色素併用拡大内視鏡. 胃と腸. 2017 ; 53 : 1288-1296.
 
P.219 掲載の参考文献
1) Yoshida N, Hisabe T, Inada Y, et al. The ability of a novel blue laser imaging system for the diagnosis of invasion depth of colorectal neoplasms. J Gastroenterol. 2014 ; 49 : 73-80.
 
P.224 掲載の参考文献
1) Jacob H, Toyonaga T, Ohara Y, et al. Endoscopic submucosal dissection of cecal lesions in proximity to the appendiceal orifice. Endoscopy 2016 ; 48 : 829-836.
 
P.225 掲載の参考文献
1) Toyonaga T, Man-I M, Fujita T, et al. The performance of a novel ball-tipped Flush knife for endoscopic submucosal dissection : a case-control study. Alimentary Pharmacology & Therapeutics. 2010 ; 32 : 908-915.
PubMed
2) Ohara Y, Toyonaga T, Hoshi N, et al. Usefulness of a novel slim type FlushKnife-BT over conventional FlushKnife-BT in esophageal endoscopic submucosal dissection. World Journal of Gastroenterology. 2017 ; 23 : 1657.
PubMed
P.230 掲載の参考文献
1) Yamamoto K, Hayashi S, Ichiba M, et al. Endoscopic submucosal dissection using endoclips to assist in mucosal flap formation (novel technique : "clip flap method"). Endoscopy. 2012, 44 Suppl 2 UCTN : E334-335.
 
2) Yamamoto K, Hayashi S, Saiki H, et al. Endoscopic submucosal dissection for large superficial colorectal tumors using the "clip-flap method". Endoscopy. 2015 ; 47 : 262-265.
PubMed
P.237 掲載の参考文献
1) Yamashina T, Uedo N, Akasaka T, et al. Comparison of Underwater vs Conventional Endoscopic Mucosal Resection of Intermediate-Size Colorectal Polyps. Gastroenterology. 2019 ; 157 : 451-461.
PubMed
P.245 掲載の参考文献
1) Suzuki S, Gotoda T, Kusano C, Yamauchi M, et al. Width and depth of resection for small colorectal polyps : hot versus cold snare polypectomy. Gastrointest Endosc. 2018 ; 87 : 1095-1103.
PubMed
2) Barge W, Kumar D, Giusto D, et al. Alternative approaches to polyp extraction in colonoscopy : a proof of principle study. Gastrointest Endosc. 2018 ; 88 : 536-541.
PubMed
3) Kawamura T, Takeuchi Y, Asai S, et al. A comparison of the resection rate for cold and hot snare polypectomy for 4-9 mm colorectal polyps : a multicentre randomised controlled trial (CRESCENT study). Gut. 2018 ; 67 : 1950-1957.
PubMed
P.251 掲載の参考文献
1) Uno Y, Munakata A. The non-lifting sign of invasive colon cancer. Gastrointest Endosc 1994 ; 40 : 485-489.
PubMed
2) 豊永高史, 広岡大司, 大地宏昭, 他. 表面型大腸腫瘍に対する生検の問題点について. Gastroenterol Endosc 1997 ; 39 : 984-989.
 
3) Kobayashi N, Saito Y, Sano Y, et al. Determining the treatment strategy for colorectal neoplastic lesions : endoscopic assessment or the non-lifting sign for diagnosing invasion depth? Endoscopy 2007 ; 39 : 701-705.
PubMed
P.253 掲載の参考文献
1) Torlakovic E, Skovlund E, Snover DC, et al. Morphologic reappraisal of serrated colorectal polyps. Am J Surg Pathol. 2003 ; 27 : 65-81.
PubMed
2) Higuchi T, Sugihara K, Jass JR. Demographic and pathological characteristics of serrated polyps of colorectum. Histopathology. 2005 ; 47 : 32-40.
PubMed
3) 大腸癌研究会 (編). 大腸癌取扱い規約, 第9版. p61. 金原出版, 2018.
 
4) WHO Classification of Tumours Editorial Board (eds.). WHO Classification of Tumours, Digestion System Tumours. 5th ed. pp163-169. IARC Press, 2019.
 
5) Lash RH, Genta RM, Schuler CM. Sessile serrated adenomas : prevalence of dysplasia and carcinoma in 2139 patients. J Clin Pathol. 2010 ; 63 : 681-686.
PubMed
6) 藤井隆広, 九嶋亮治. 大腸鋸歯状病変の癌化を考える. 消化器内視鏡. 2012 ; 24 : 1199-1201.
Medical*Online
P.263 掲載の参考文献
1) 吉井新二, 石垣沙織, 塚越洋元, 他. 大腸SM癌の内視鏡的摘除後経過観察例の予後. Gastroenterol Endosc 2012 ; 54 : 244-252.
 
2) 依田雄介, 池松弘朗, 松田尚久, 他. 大腸癌治療ガイドライン 2005/2009の妥当性. 胃と腸 2011 ; 46 : 1442-1448.
 
3) Oka S, Tanaka S, Kanao H, et al. Mid-term prognosis after endoscopic resection for submucosal colorectal carcinoma : Summary of a multicenter questionnaire survey conducted by the colorectal endoscopic resection standardization implementation working group in Japanese society for cancer of the colon and rectum. Dig Endosc. 2011 ; 23 : 190-194.
 
P.279 掲載の参考文献
1) Matsuda T, Fujii T, Saito Y, et al. Efficacy of the invasive/non-invasive pattern by magnifying chromoendoscopy to estimate the depth of invasion of early colorectal neoplasms. Am J Gastroenterol. 2008 ; 103 : 2700-2706.
PubMed
P.297 掲載の参考文献
1) Yoshida N, et al. The ability of a novel blue laser imaging system for the diagnosis of invasion depth of colorectal neoplasms. J Gastroenterol. 2014 ; 49 : 73-80.
 
P.316 掲載の参考文献
1) Ono A. Endoscopic submucosal resection of rectal carcinoid tumors with a ligation device. Gastrointest Endosc. 2003 ; 57 : 583-587.
PubMed
2) 大腸ESD/EMRガイドライン. Gastroenterol Endosc. 2014 ; 50 : 1598-1617.
 
3) Park H. Endoscopic submucosal dissection for treatment of rectal carcinoid tumors. Gastrointest Endosc. 2010 ; 72 : 143-149.
PubMed
4) Inada Y, Yoshida N, et al. Risk of lymph node metastasis after endoscopic treatment for rectal NETs 10mm or less. Int J Colorectal Dis Dec 18, 2020 [Epub ahead of print]
 

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